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Dr. Chula Lerdvoratavee

Optometrist Optomitrist - Low Vision Rehabilitation Optomitrist - Corneal and Contact Lenses

1335 Douglas Rd Suite E
Montgomery , Illinois 60538-1634

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Dr. Chula Lerdvoratavee

Optometrist Optomitrist - Low Vision Rehabilitation Optomitrist - Corneal and Contact Lenses

1335 Douglas Rd Suite E
Montgomery , Illinois 60538-1634

(630) 844-0677

Write a Review Save Call

Dr. Chula Lerdvoratavee

Optometrist Optomitrist - Low Vision Rehabilitation Optomitrist - Corneal and Contact Lenses

1335 Douglas Rd Suite E
Montgomery , Illinois 60538-1634

(630) 844-0677 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Optometrist
  • Optomitrist - Corneal and Contact Lenses
  • Optomitrist - Low Vision Rehabilitation

Languages spoken

  • English

Location

1335 Douglas Rd Suite E Montgomery , Illinois 60538-1634

First Address

  • Dr. Chula Lerdvoratavee
  • 1335 Douglas Rd Suite E
  • Montgomery, IL
  • Zip : 60538-1634
  • Fax : (630) 844-0677
  • Phone : (630) 844-0908

Second Address

  • Dr. Chula Lerdvoratavee
  • 1335 Douglas Rd Suite E
  • Montgomery, IL
  • Zip : 60538-1634
  • Fax : (630) 844-0677
  • Phone : (630) 844-0908

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FAQs


Where did Dr. Chula Lerdvoratavee attend graduate school?

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Where did Dr. Chula Lerdvoratavee do her residency?

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Where did Dr. Chula Lerdvoratavee do her fellowship?

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Is Dr. Chula Lerdvoratavee board certified?

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In what state does Dr. Chula Lerdvoratavee practice in?

Illinois

Where is Dr. Chula Lerdvoratavee ’s practice located?

1335 Douglas Rd Suite E , Montgomery, Illinois, 60538-1634

What is Dr. Chula Lerdvoratavee ’s gender?

Female

Is Dr. Chula Lerdvoratavee a sole practitioner?

No

Is Dr. Chula Lerdvoratavee accepting new patients?

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What languages does Dr. Chula Lerdvoratavee speak?

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Does Dr. Chula Lerdvoratavee accept insurance?

Yes, Dr. Chula Lerdvoratavee accepts insurance

Does Dr. Chula Lerdvoratavee offers telemedicine?

Dr. Chula Lerdvoratavee has not indicated if she offers telemedicine

What is Dr. Chula Lerdvoratavee ’s professional license number?

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What is Dr. Chula Lerdvoratavee ’s NPI number?

1346230604

Does Dr. Chula Lerdvoratavee have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 152W00000X Optometrist IL
N 152WC0802X Optomitrist - Corneal and Contact Lenses IL
N 152WL0500X Optomitrist - Low Vision Rehabilitation IL

National Provider Identifier

NPI 1346230604
Provider Name Dr. Chula Lerdvoratavee
First Address Montgomery, IL 60538-1634
Second Address Montgomery, IL 60538-1634
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 26/10/2005
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
U24506 (02) IL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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